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General NPI Number Information
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NPI Number | 1992827216
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Entity Type | Individual
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Provider Name | GIOVANNI BATTISTA BORDIGNON LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 10823 SEMINOLE BLVD SUITE 2B
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City | SEMINOLE
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State | FL
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Zip | 33778-3347
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Country | US
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Telephone | 727-392-1812
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Fax | 727-392-0856
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Provider Business Mailing Address
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Address Line | 10565 52ND AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33708-3311
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Country | US
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Telephone | 727-391-1811
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH004458
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License Number State | FL
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